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BRIDGE HEALTHCARE PHARMACY LLC
NPI 1750012365
Pharmacy - Long Term Care Pharmacy in Centreville, MI

Active since June 23, 2022
658 E MAIN ST, CENTREVILLE, MI 49032(269) 467-3510 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bridge Healthcare Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGE HEALTHCARE PHARMACY LLC (NPI 1750012365) is a healthcare organization registered as a long term care pharmacy in Centreville, Michigan and active in the NPI registry since June 2022. The organization lists Michael Dabaja, Vice President, as its authorized official.

NPPES Registry Identity

NPI1750012365
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBRIDGE HEALTHCARE PHARMACY LLC
Location Address658 E MAIN STCentreville, MI 49032-9627
Mailing AddressPo Box 22Nazareth, MI 49074-0022
Phone(269) 467-3510
Organization SubpartNo
Authorized OfficialMichael DabajaVice President · (269) 553-5000
Enumeration DateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1750012365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
658 E MAIN ST, Centreville, MI 49032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COVERED BRIDGE HEALTHCARE OF ST. JOSEPH COUNTY INC
Clinic/Center (Federally Qualified Health Center (FQHC))
658 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-3228
SAMANTHA JO MOODY FNP-C
Nurse Practitioner (Family)
658 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-3228
MRS. ABIGAIL WORKMAN MSN, NP-C
Nurse Practitioner (Family)
658 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-3228
MARK EDWARD MONTCALM PHARM.D.
Pharmacist
658 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-3510
VARNELL PERSON-TURNER LCSW
Social Worker (Clinical)
658 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-3228
DR. BRUCE RONALD HYDE MD
Family Medicine
658 E MAIN ST
CENTREVILLE, MI 49032
St. Joseph County (269) 467-3228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridge Healthcare Pharmacy LLC's NPI number?

The NPI number for Bridge Healthcare Pharmacy LLC is 1750012365. It was assigned to this organization in the NPPES registry on June 23, 2022.

Where is Bridge Healthcare Pharmacy LLC located?

Bridge Healthcare Pharmacy LLC is located at 658 E Main St, Centreville, MI 49032. The listed phone number is (269) 467-3510.

What is Bridge Healthcare Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Bridge Healthcare Pharmacy LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Care Network of Michigan and 13 other insurers list Bridge Healthcare Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bridge Healthcare Pharmacy LLC was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.